Mikayla Eccleston
Research Mentor: Minji Kang
Mentor Department: Not Available, Not Available
Author(s): Mikayla Eccleston, Cynthia Wynn, Murphy Van Sparrentak, Minji Kang Huh, Justine Wu
Session: Session 2 (10:00 AM – 10:50 AM)
Presentation Type: Poster 48
Abstract
Background: Contraceptive decision-making is complex; patients with health conditions must consider the impact of contraceptive methods on their health conditions and/or medications. Prior evidence shows that Black patients experience inequities in contraceptive counseling and are more likely to experience contraceptive coercion from health care providers. This contributes to larger knowledge gaps and lower confidence when selecting contraceptive methods aligned with their values and preferences. My Health, My Choice (MHMC) is a novel web-based tool to support informed contraceptive decisions among patients with health conditions. Objective: To evaluate the impact of My Health, My Choice on contraceptive use and explore racial differences in outcomes (Black vs white patients). Methods: We will conduct a mixed methods cluster RCT of a contraceptive decision tool for patients with health conditions, comparing patient outcomes between the intervention arm (MHMC + usual contraceptive care) and control arm (usual contraceptive care). This tool uniquely integrates reproductive justice principles to reduce patient knowledge gaps through tailored contraceptive education in the context of their health conditions, medications, and personal characteristics. The tool will be tested in 14 clinics in the United States, among an estimated 725 patients. We will assess the impact of MHMC use by evaluating the primary outcome of contraceptive nonuse at 3 months and hypothesized mediators (secondary outcomes): decisional conflict using the Decisional Conflict Scale (DCS) and the quality of interpersonal interactions using the Interpersonal Quality of Family Planning scale (IQFP). We will conduct subanalyses of these outcomes by race (i.e., Black vs white patients). Expected results: We anticipate that the impact of MHMC on primary and secondary outcomes will be greater for Black patients than for white patients. MHMC use will be associated with greater contraceptive use, mediated by lower decisional conflict and improved interpersonal interactions among Black patients compared to white patients.
